Innovations in Pain Management for Abdominoplasty Patients: A Systematic Review

Area of Science:

• Plastic Surgery
• Anesthesiology
• Pain Management

Background:

• Abdominoplasties are common cosmetic surgeries to enhance abdominal contours.
• Inadequate pain control post-abdominoplasty can lead to increased opioid consumption and dependency.
• Optimizing pain management is crucial for patient recovery and safety.

Purpose of the Study:

• To systematically review nonopioid pain management strategies for abdominoplasty.
• To evaluate the efficacy of various interventions in reducing opioid use and dependence.
• To identify best practices for postoperative pain control in abdominoplasty patients.

Main Methods:

• A systematic literature search was performed across major databases (MEDLINE, Cochrane, PubMed, Web of Science, EMBASE) up to January 2024.
• Studies focusing on nonopioid interventions in adult abdominoplasty patients were included.
• Bias assessment was conducted using established tools for randomized and non-randomized trials.

Main Results:

• Thirty-five studies involving 3636 patients were analyzed.
• Transversus abdominis plane blocks, pain pump catheters, local anesthetics, ketamine, and NSAIDs demonstrated effectiveness in reducing pain and opioid requirements.
• Bias assessment indicated low to moderate risks, with some concerns regarding methodology and data reporting.

Conclusions:

• Nonopioid analgesics show significant potential for managing abdominoplasty pain.
• Further research is necessary to confirm efficacy and refine optimal pain management protocols.
• Implementing these strategies can improve patient care and reduce opioid-related risks.